Evaluating cardiovascular risk assessment for asymptomatic people

Scott, Ian A. (2009) Evaluating cardiovascular risk assessment for asymptomatic people. BMJ: British Medical Journal, 338 7687: 164-168. doi:10.1136/bmj.a2844

Author Scott, Ian A.
Title Evaluating cardiovascular risk assessment for asymptomatic people
Journal name BMJ: British Medical Journal
ISSN 0959-535X
Publication date 2009-01-17
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1136/bmj.a2844
Volume 338
Issue 7687
Start page 164
End page 168
Total pages 5
Editor Trevor Jackson
Fiona Godlee
Place of publication London, U.K.
Publisher BMJ Group
Collection year 2010
Language eng
Subject 1102 Cardiovascular Medicine and Haematology
920103 Cardiovascular System and Diseases
Formatted abstract
Risk prediction tools based on the Framingham score are the most widely used for determining individuals’ absolute risk based on clinical risk factors, although newer tools are better calibrated

The clinical label metabolic syndrome and abnormalities on the resting electrocardiograph do not add prognostic information beyond that obtained by traditional risk factors

Exercise stress electrocardiography that generates a positive or negative result based on ST deviation alone is not predictive, although scores that integrate several electrocardiographic and clinical variables may be predictive in patients at intermediate risk

Laboratory biomarkers, even in the form of multimarker panels, are not helpful in refining clinical risk estimates

Imaging of subclinical atherosclerosis with computed coronary angiography can identify patients at significantly increased risk, but only a small proportion of patients screened fall into this group

No randomised evidence to date has shown that informing clinicians and patients of absolute risk of cardiovascular events leads to changes in care or improvement in outcomes
Keyword Risk prediction tools
Framingham score
Cardiovascular health
Q-Index Code C1
Q-Index Status Confirmed Code

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: 2010 Higher Education Research Data Collection
ERA 2012 Admin Only
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 8 times in Thomson Reuters Web of Science Article | Citations
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Created: Wed, 13 Jan 2010, 11:58:07 EST by Elissa Saffery on behalf of Medicine - Princess Alexandra Hospital